# DOSSIER HEALTH MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528570678
- **Authorized official:** JAMES KOSTOS (MANAGER)
- **Authorized official phone:** (818) 823-4352

## Contact information

- **Practice address:** 138 N BRAND BLVD STE 200-106, GLENDALE, CA 91203-4614
- **Practice address phone:** (818) 823-4352
- **Practice address fax:** (818) 230-9029
- **Mailing address:** 138 N BRAND BLVD STE 200-106, GLENDALE, CA 91203-4614
- **Mailing address phone:** (818) 823-4352
- **Mailing address fax:** (818) 230-9029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | A82437 | CA | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2017
- **Last updated:** 10/30/2017